1. Home
  2. Directory
  3. California
  4. San Diego
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHELLE PRUETT NP
NPI 1144092511
Nurse Practitioner - Pediatrics, Critical Care in San Diego, CA

Active since October 27, 2023
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 976-5900 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Oct 27, 2023 (2 updates tracked since 2023).

About Michelle Pruett Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE PRUETT NP (NPI 1144092511) is an individual pediatrics, critical care provider in San Diego, California, licensed in California (95027814) and active in the NPI registry since October 2023. She maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1144092511
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMICHELLE PRUETTCredential: NP
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address4852 Mount Alifan DrSan Diego, CA 92111-2510 · (330) 805-0630
Phone(858) 976-5900
Sole ProprietorNo
Enumeration DateOctober 27, 2023
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1144092511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
Licenses✔ Licensed in CA · 95027814✔ Licensed in AZ · 330052
3020 CHILDRENS WAY, San Diego, CA 92123
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 N Beaver StFlagstaff, AZ 86001-3118 · Phone (928) 773-2112 · Fax (928) 773-2237

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAMEI TOLBA M.D.
Pediatrics
3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. KATHLEEN MARY DULLY M.D.
Pediatrics
3020 CHILDRENS WAY, MC 5014
SAN DIEGO, CA 92123
San Diego County (858) 966-5980
MS. DIANE SUZANNE MASSER-FRYE MS, MSW
Genetic Counselor, MS
3020 CHILDRENS WAY, MC 5031
SAN DIEGO, CA 92123
San Diego County (858) 966-5840
DR. ANDREW J SKALSKY M.D.
Physical Medicine & Rehabilitation
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8974
DR. DANIEL WILLIAM HERSHEY MD
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. NADIA SARWAR MD
Pediatrics
3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8800
RACHEL ANDREA CHRISTIAN LUND P.A.-C
Physician Assistant
3020 CHILDRENS WAY, MC 5075
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
REBECCA S BERNARD PH.D.
Psychologist (Clinical)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Pruett's NPI number?

The NPI number for Michelle Pruett is 1144092511. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Michelle Pruett located?

Michelle Pruett practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 976-5900.

What is Michelle Pruett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Michelle Pruett was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.